CATHOLIC HEALTH ives! Franciscan Health System Certificate of Need Program R ECEIVE D Facilities and Services Licensing +t Department of Health MAR 2 $2013 +310 Israel Road SE CERTIRONTE GF NEED PROBA Tumwater, WA 98501-5447 ‘OERRIMEMT OF SEAT ‘Attn: Karen Nidermayer Dear Ms. Nidermayer: Enclosed is the Franciscan Health System and Highline Medical Center Affiliation Agreement (redacted for confidential, proprietary and/or trade secret information}. Ifyou have any questions please contact: Terri Rambosek Franciscan Corporate Counsel 11145 Broadway Plaza Suite 1200 Tacoma, WA 98402 (253) 680-4013 TerriRambosek Sincerely, Administrative Coord Franciscan Health System uth Steet PO. Box 2197 Tacoma, WA 98401-2197 ‘Aton the promi toca Phone 253.426.4101 wwwsFHShealth og ST JOSEPH MEDICAL CENTER + ST, CLARE HOSPITAL + ST, FRANCIS HOSPITAL + ST, ELIZABETH HOSPITAL ST, ANTHONY HOSPITAL + FRANGISCAN MEDICAL GROUP.» FRANCISCAN HOSPICE AND PALLIATIVE CARE FRANCISCAN OCCUPATIONAL HEALTH + FRANCISCAN FOUNDATIONEXECUTION COPY REDACTED FOR CONFIDENTIAL, PROPRIETARY AND/OR, TRADE SECRET INFORMATION AMENDED AND RESTATED AFFILIATION AGREEMENT BY AND BETWEEN FRANCISCAN HEALTH SYSTEM AND HIGHLINE MEDICAL CENTER Dated as of December 19, 2012 and Amended and Restated March 8, 2013TABLE OF CONTENTS DEFINITIONS AND REFERENC! 1.1 Definitions. 1.2 Other Definitional Provisions... maT! 21 22 2.3. HMC Closing Deliveries... 24 BHS’s Closing Deliveries . 2.5 HMC Foundation 2.6 Name; Branding. CHANGE OF MEMBERSHIP, CLOSING AND OTHER RELA’ POST-CLOSING GOVERNANCE. 3.1 HMC Govemence 3.2 Governing Board Composition. 3.3 Restated Bylaws....... REPRESENTATIONS AND WARRANTIES OF HMC Be 4.1 Organization and Good Standing. i7 42 Authority; No Conflict 17 43 Membership 18 44 — Subsidiaries and JV Entities. 18 4.5 Directors, Trustees and Officers 4.6 — Financial Statements... 47 Books and Records 48 Title to Properti: 49 HMC Real Propert 4.10 No Undisclosed Liabilities. 411 Taxes..... 4.12 No Material Adverse 4.13 Employee Benefits 4,14 Compliance with Legal Requirements; Permit 4.15 Equipment 4.16 Condition of Tangible Assets. 4.17 Legal Proceedings; Orders 4.18 Absence of Certain Changes and Events 4.19 Contracts; No Defaull 31 420 33 421 35 422 36 4.23 Labor Relations; Compliance 4.24. Intellectual Property